Relationships Between Smoking and Sleep Problems in Black and White Adolescents

Abstract Study Objectives: The relationship between sleeping and smoking during adolescence remains unclear and is likely complex. We aim to evaluate the longitudinal reciprocal associations between sleep problems, sleep duration, and smoking among non-Hispanic white (NHW) and non-Hispanic black (NH...

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Published in:Sleep (New York, N.Y.) Vol. 40; no. 1
Main Authors: Bellatorre, Anna, Choi, Kelvin, Lewin, Daniel, Haynie, Denise, Simons-Morton, Bruce
Format: Journal Article
Language:English
Published: US Oxford University Press 01.01.2017
Subjects:
Adolescent
Adolescent Behavior - ethnology
African Americans
European Continental Ancestry Group
Female
Humans
Insomnia
Longitudinal Studies
Male
Original
Prospective Studies
Sleep
Sleep deprivation
Sleep Initiation and Maintenance Disorders - ethnology
Sleep Initiation and Maintenance Disorders - psychology
Smoking
Smoking - ethnology
Smoking - psychology
Teenagers
Time Factors
United States - epidemiology
sleep duration
adolescent
sleep problem
longitudinal
smoking
ISSN:0161-8105, 1550-9109, 1550-9109
Online Access:Get full text
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Summary:Abstract Study Objectives: The relationship between sleeping and smoking during adolescence remains unclear and is likely complex. We aim to evaluate the longitudinal reciprocal associations between sleep problems, sleep duration, and smoking among non-Hispanic white (NHW) and non-Hispanic black (NHB) youth. Design: Prospective cohort study Setting: NEXT Generation Health Study Participants: A national sample (N = 1394) of NHB and NHW 10th graders were surveyed annually between 2009 (Wave 1) and 2012 (Wave 3). Interventions: N/A Measurements and Results: Past 30-day smoking, chronic difficulty falling asleep, recent difficulty falling asleep, difficulty staying asleep, and weekday and weekend sleep duration were measured at each wave. Using structural equation models, we observed significant autocorrelations over time for sleep problems and sleep duration. We found significant reciprocal, prospective relationships between smoking and sleep problems. The strengths of the relationships differed by race, with a stronger association between sleep problems and subsequent smoking for NHB than NHW youth. Conversely, a stronger association between smoking and subsequent sleep problems for NHW than NHB youth was observed. These association were independent of demographics, snoring or sleep apnea, body mass index, depressive symptoms, alcohol use, and soda consumption. Conclusions: Reciprocal and prospective relationships exist for youth smoking and sleep problems and duration in both NHW and NHB youth. Further research is needed to unravel the complex relationship between the direct effects of nicotine, lifestyle choices that may link smoking and sleep problems, and racial differences.
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Address correspondence to: Kelvin Choi, PhD, 9000 Rockville Pike Building 3 5W05, Bethesda, MD 20892, USA. Telephone: 301-496-3400; Fax: 301-496-3489; Email: kelvin.choi@nih.gov
ISSN:0161-8105
1550-9109
1550-9109
DOI:10.1093/sleep/zsw031